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CONVIVA NORMANDY
NPI 1659945962
Internal Medicine in Jacksonville, FL

Active since May 20, 2021CLIA Certified · 3 labs
7200 NORMANDY BLVD STE 20, JACKSONVILLE, FL 32205(904) 378-8520(904) 378-8570 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 20, 2021 (2 updates tracked since 2021).

About Conviva Normandy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVIVA NORMANDY (NPI 1659945962) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since May 2021. The organization holds 3 active CLIA laboratory certificates and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1659945962
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address7200 NORMANDY BLVD STE 20Jacksonville, FL 32205-6271
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 378-8520
Fax(904) 378-8570
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1659945962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
7200 NORMANDY BLVD STE 20, Jacksonville, FL 32205
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Other Names 1

Other NameConviva Normandy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1044385

Conviva Medical Center Management LLC Dba Conviva Care Center · Jacksonville, FL
Active · expires Aug 17, 2027
CLIA Number10D1044385
Laboratory TypeHcc
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorGuilad Pribluda
Laboratory Phone(904) 378-8520
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center7200 Normandy Blvd Ste 20, Jacksonville, FL 32205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2136076

Conviva Medical Center Management LLC Dba Conviva Care Center · Jacksonville, FL
Active · expires Aug 31, 2027
CLIA Number10D2136076
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorHeber Rosa
Laboratory Phone(904) 527-2888
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center25 University Blvd, North, Jacksonville, FL 32211
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2026675

Conviva Medical Center Management LLC Dba Conviva Care Center · Jacksonville, FL
Active · expires Jul 6, 2027
CLIA Number10D2026675
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorAlan Ekanem
Laboratory Phone(904) 766-7606
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center1028 Dunn Avenue, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUILAD PRIBLUDA MD
Internal Medicine
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 378-8520
DR. SUSANA CASSAGLIA NP, MD
General Practice
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 378-8520
FLORIDA KIDNEY PHYSICIANS, LLC
Internal Medicine (Nephrology)
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 388-2678
MRS. VALENCIA D BLUE GRAHAM ANP-BC
Nurse Practitioner (Adult Health)
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 378-8520
MRS. TINESHA PRINTELLA JEFFERSON APRN
Nurse Practitioner (Family)
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 378-8520
JEFFREY ALAN MATHISON MD
Family Medicine
7200 NORMANDY BLVD STE 20
JACKSONVILLE, FL 32205
Duval County (904) 378-8520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1659945962. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is also known as Conviva Normandy.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 7200 Normandy Blvd Ste 20, Jacksonville, FL 32205. The listed phone number is (904) 378-8520.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Conviva Medical Center Management LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.